Individual
MR. FRED I DUDENHOEFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED, LPC
Contact information
Practice address
129 E HIGH ST APT A, JEFFERSON CITY, MO 65101-5401
(573) 690-2553
(573) 761-3222
Mailing address
PO BOX 2168, JEFFERSON CITY, MO 65102-2168
(573) 690-2553
(573) 761-3222
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1999137153
MO
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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